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  • Title: [Esophagocoloplasty in the treatment of total caustic stenosis of the esophagus].
    Author: Claret I, Ribo JM, Barber J, Montaner A, Mayol J.
    Journal: Cir Pediatr; 1989 Apr; 2(2):90-3. PubMed ID: 2485678.
    Abstract:
    Since October 1986 until January 1988 we have treated 3 patients with corrosive strictures of the esophagus, by substitution of esophagus with vascularized colon. Two females (4 and 8 years) and one male (5 years) had been treated on others hospitals by means of gastrostomy and periodically retrogradual dilatations; in two of them for more than 24 months. The surgical treatment was indicated upon the evolution time, the degree of dysphagia and the size of the affected segment. The coloesophagoplasty by retrosternal approach with proximal anastomosis in the neck, has been the operative technique performed in the male case. On the others two cases, colon interposition by extrapleural thoracic approach, combined with laparotomy was carried out. We think that the coloesophagoplasty by retroesternal way should only be advised in cases were superior anastomosis in the neck is indicated, conditioned by the height of the stricture. On the other hand, colon interposition by extrapleural approach, is the elective way for the others cases.
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